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Violence risk assessment in persons with mental illness
- Authors:
- SCOTT Charles L., RESNICK Phillip J.
- Journal article citation:
- Aggression and Violent Behavior, 11(6), November 2006, pp.598-611.
- Publisher:
- Elsevier
Mental health clinicians are often asked to determine an individual's risk of future violence. Dangerous assessments are required in a wide variety of situations that include involuntary commitments, emergency psychiatric evaluations, seclusion and restraint release decisions, inpatient care discharges, probation/parole decisions, death penalty evaluations, domestic violence interventions, fitness for duty evaluations, and after a threat is made. This article provides an overview regarding the assessment of dangerousness in both adults and juveniles and a summary of recent research regarding the relationship of mental illness to violence.
Dual diagnosis among incarcerated populations: exception or rule?
- Authors:
- SCOTT Charles L., LEWIS Catherine F., MCDERMOTT Barbara E.
- Journal article citation:
- Journal of Dual Diagnosis, 3(1), 2006, pp.33-58.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Over 2 million individuals were incarcerated in jails and prisons in the United States in 2004. Multiple studies indicate that the prevalence of mental illness and substance use disorders is substantially higher in correctional environments when compared with rates in the community. The objective of this paper is to provide information on the prevalence of dual diagnosis among those incarcerated and the importance of assessing comorbidity for determining treatment needs of inmates. For the purposes of this article, the definition of dual diagnosis includes mental disorders and coexisting substance use disorders, mental disorders and coexisting developmental disabilities, and developmental disabilities and coexisting substance abuse disorders. An extensive electronic literature search was conducted through PubMed, Medline, Department of Justice, and the National Commission on Correctional Health Care. Studies examining the prevalence of mental illness and substance use in jails and prisons, female inmates, and inmates with developmental disabilities were reviewed. The literature reviewed indicated a high comorbidity of mental illness and substance use disorders in incarcerated individuals. Providers should be aware of issues regarding dual diagnosis in special populations among those incarcerated to include female offenders and offenders with developmental disabilities. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).